Cynthia Vida Ketter in Green Bay - Physical Therapist
Cynthia Vida Ketter - NPI 1144436775
Cynthia Vida Ketter is a Physical Therapist in Green Bay, Wisconsin. Cynthia Vida Ketter practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Cynthia Vida Ketter is 1144436775. The last update date is 2007-07-08.
Cynthia Vida Ketter's current location address is 1435 W. Mason St., Green Bay, Wisconsin. You can contact this provider via phone number 9207374135 and fax number 9204909705. The mailing address for Cynthia Vida Ketter is 1435 W. Mason St., Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia Vida Ketter |
|---|---|
| Address | 1435 W. Mason St., Green Bay, Wisconsin |
| Phone Number | 9207374135 |
| Fax Number | 9204909705 |
| Sole Proprietor | Y |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1144436775 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1435 W. Mason St. |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 54303 |
| Phone Number | 9207374135 |
| Fax Number | 9204909705 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2595 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identification code assigned to Cynthia Vida Ketter by the Centers for Medicare & Medicaid Services?
The Cynthia Vida Ketter has been issued the NPI (National Provider Identifier) 1144436775, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Cynthia Vida Ketter located?
The Cynthia Vida Ketter is located at 1435 W. Mason St., Green Bay, WI 54303.
What is Cynthia Vida Ketter's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Cynthia Vida Ketter is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Cynthia Vida Ketter receive its 1144436775 assignment from the Centers for Medicare & Medicaid Services?
The Cynthia Vida Ketter was assigned its 1144436775 by the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date were the details pertaining to Cynthia Vida Ketter last refreshed?
The information related to the Cynthia Vida Ketter, including its address, specialty, and other relevant details, was last updated on 2007-07-08.